| NPI | 1447549571 |
|---|---|
| Former Name | EILEEN ANNE BOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125.060396) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.134096) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2013-11-14 |